Individual
KRISTIN LEIGH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R875701
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09523036
—
MS
Enumeration date
07/20/2010
Last updated
10/27/2017
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